| NPI | 1730673591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39370) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11476) |
| 103T00000X Psychologist (Licence: NE 1040) | |
| 103T00000X Psychologist (Licence: TX 39370) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-08-14 |